Manager, Case Management Full Time Exempt

CHA Hollywood Presbyterian Medical Center; Los Angeles (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

CHA Hollywood Presbyterian Medical Center is seeking an experienced RN Case Manager to lead Case Management, Utilization Review, and Discharge planning in a dynamic acute care setting. The role focuses on coordinating care across the continuum to achieve safe, timely, and cost-effective patient outcomes.

The ideal candidate will have RN licensure in California, 5+ years of case management in an acute care hospital, and comfort working in a union environment.

Qualifications

• Ability to communicate effectively verbally and in writing.
• Must be able to work in a union environment.
• Case Management experience in Acute Care Hospital 5 years or more required.

Responsibilities

• Supervises Case Management, Utilization Review and Discharge planning activities.
• Oversees throughput and timely discharge of patients.
• Coordinate internal DRG review and contracts with third party payers/hospices as needed.
• Lead performance improvement initiatives and staff evaluations.
• Collaborate with hospitalists and physicians to meet length-of-stay and quality metrics.
• Ensure compliance with organization-wide Performance Improvement Program.

Skills

Communication

Union environment

Case management experience

Education

RN Nursing Program

BSN preferred

Job description

Job Summary

CHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed to serving local multicultural communities with quality medical and nursing care. With more than 500 physicians representing virtually every specialty, HPMC strives to distinguish itself as a leading healthcare provider, recognized for providing quality, innovative care in a compassionate manner. HPMC is part of a global healthcare enterprise which owns and operates general hospitals throughout Korea, numerous research centers in the U.S. and Korea including a medical university, and CHAUM (a premier anti‑aging life center).

Major Responsibilities/Essential Functions

Position Summary

To lead the company to consistently deliver patient centered care that results in the best patient experience in the nation and number one in the nation in safety and satisfaction through the utilization of a collaborative approach to affect a multi-disciplinary tactic to patient care while promoting quality, cost effective outcomes.

Duties

• Supervises Case Management, Utilization Review and Discharge planning activities.
• Facilitates processes associated with identifying appropriate alternative placements for patients.
• Facilitates the streamlining of the health care delivery process to focus on the best treatment for the patient, thus minimizing or eliminating unnecessary steps and promoting the timely provision of care and utilization of resources.
• Oversees case management process as it relates to the patient’s current treatment plan in order to identify barriers to moving the patient through the continuum of care.
• Acts as primary liaison for coordinating internal DRG review, contracted third party payers, contracts hospice with the assistance of social work and managed care utilization issues.
• Oversee Throughput activities and ensure timely discharge of patients and/or proper escalation processes.
• Attend Meetings as necessary and respond to emails timely.
• Monitor productivity and quality of performance for staff report
• Perform annual evaluations and provide face to face feedback to the team.
• Interact in Polite and Professional Manner with all Customers.
• Work on Strategy and Compliance with Vendors and other outside Partners to prevent conflicts of interest and adequate support for things such as recoup care, hospice, placement, home health, snf, etc.
• Work closely with hospitalist group and physician to ensure the length of stay and other quality metrics are met and elevate as necessary.
• Demonstrates knowledge and commitment to the organization hospital-wide Performance Improvement Program in order to ensure continuous quality improvement of all processes.
• Oversees the programs that provide education and consultation to members of the Medical Center health care team to ensure attention to bio psychosocial needs of the patients.
• Helps lead the company’s effort to earn and retain JC certification and other relevant government programs.
• Be present where needed, ready to work and on time for all work hours, and to recognize when situations require more effort and effective leadership to satisfy the responsibilities of the position in a timely manner

Job Qualifications

Minimum Education

• Graduate of an accredited RN Nursing Program.

Preferred Education

• Bachelor’s Degree in Nursing or related field preferred.

Minimum Work Experience And Qualifications

• Ability to communicate effectively verbally and in writing.
• Must be able to work in a union environment.
• Case Management experience in Acute Care Hospital 5 years or more required.

Preferred Work Experience And Qualifications

• Three years progressive management experience in the field of expertise.
• Case Management certification

Required Licensure, Certification, Registration Or Designation

• California Registered Nurse (RN) License.
• Basic Life Support (BLS) from the American Heart Association (AHA).
• Los Angeles County Fire & Safety Card (required within 30 days of hire).
• Assault Response Competency (ARC) (required within 30 days of hire).

Status: Full-Time Exempt
Shift: Varied Exempt
Hours: 8hrs Varied
Weekly/Bi-Weekly Hours: 40hrs/80hrs
FTE: 1.0